TY  - JOUR
T1  - Balancing Intuition and Evidence: Clinical Gestalt in Modern Medicine
TT  - Sezgi ve Kanıtın Dengelenmesi: Modern Tıpta Klinik Gestalt
AU  - Özdemir, Serdar
PY  - 2025
DA  - July
Y2  - 2024
JF  - Tıp Fakültesi Klinikleri Dergisi
JO  - TFK
PB  - İstanbul Aydın Üniversitesi
WT  - DergiPark
SN  - 2630-5585
SP  - 129
EP  - 131
VL  - 8
IS  - 2
LA  - en
AB  - Clinical gestalt, a clinician’s intuitive judgment, integrates objective data and subjective impressions for diagnosis. It is rapid, adaptable, and effective but prone to bias and less accurate for inexperienced clinicians. Studies show its utility in diagnosing conditions like pulmonary embolism, and sepsis though it requires validation with evidence-based tools.
KW  - clinical gestalt
KW  - medicine
KW  - medical decision
N2  - Klinik gestalt, hekimin eğitim, deneyim ve içgüdüye dayalı karar verme sürecidir. Hızlı, esnek ve etkili olsa da önyargılara açık olup deneyimsiz hekimlerde daha az doğru olabilir. Pulmoner emboli ve sepsis  gibi durumlarda yararlı olduğu gösterilmiş ancak kanıta dayalı yöntemlerle desteklenmesi gerekmektedir.
CR  - Özkan A. Diagnostic Accuracy of Clinical
Gestalt of Doctors with Different Experiences
in COVID-19 Suspected Patients. J
Exp Clin Med. 2022;39(3):738-742. doi:
10.52142/omujecm.39.3.28
CR  - van Maanen R, Martens ESL, Takada T, et
al. Accuracy of physicians' intuitive risk
estimation in the diagnostic management
of pulmonary embolism: an individual
patient data meta-analysis. J Thromb Haemost.
2023 Oct;21(10):2873-2883. doi:
10.1016/j.jtha.2023.05.023.
CR  - Knack SKS, Scott N, Driver BE, et al. Early
Physician Gestalt Versus Usual Screening
Tools for the Prediction of Sepsis in
Critically Ill Emergency Patients. Ann
Emerg Med. 2024 Sep;84(3):246-258. doi:
10.1016/j.annemergmed.2024.02.009.
CR  - Kline JA, Stubblefield WB. Clinician gestalt
estimate of pretest probability for acute
coronary syndrome and pulmonary embolism
in patients with chest pain and dyspnea.
Ann Emerg Med. 2014 Mar;63(3):275-80.
doi: 10.1016/j.annemergmed.2013.08.023.
CR  - Oliver G, Reynard C, Morris N, Body R.
Can Emergency Physician Gestalt "Rule
In" or "Rule Out" Acute Coronary Syndrome:
Validation in a Multicenter Prospective
Diagnostic Cohort Study. Acad
Emerg Med. 2020 Jan;27(1):24-30. doi:
10.1111/acem.13836.
UR  - https://dergipark.org.tr/tr/pub/atk/issue//1590065
L1  - https://dergipark.org.tr/tr/download/article-file/4388128
ER  -